stimulants Flashcards

(31 cards)

1
Q

what are stimulants

A

substances that increase activity of sympathetic nervous system

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2
Q

most common stimulants (6)

A

cocaine, crack, amphetamine, methamphetamine, caffeine, nicotine

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3
Q

cocaine prevalence in U.S.

A

one of world’s largest consumers of cocaine

black people are less likely than white to use powder and equally likely to use crack

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4
Q

coca leaves

A

cocaine, oral administration

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5
Q

powder cocaine

A

snorted, crosses BBB more easily

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6
Q

cocaine source

A

shrub native to Andes mountains

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7
Q

crack cocaine

A

smoked for quick and intense high

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8
Q

cocaine route of administration affects ____

A

amount of cocaine absorbed into bloodstream

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9
Q

cocaine speed of entry into brain (fastest to slowest route of administration)

A

smoked, injected, snorted, orally

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10
Q

cocaine metabolism system

A

cytochrome P450 system

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11
Q

cocaine mechanism of action

A

blocks pain pathways
blocks reuptake of dopamine, norepinephrine, and serotonin (these increase)

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12
Q

schedule of cocaine

A

II, approved for local anesthetic

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13
Q

adverse effects of cocaine

A

irritability, hostility, fear, restlessness, paranoia, heart attack

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14
Q

acute effects of cocaine

A

euphoria and increased energy
increased confidence
sweating/chills
increased heart rate
decreased appetite and need for sleep

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15
Q

chronic use of cocaine

A

tolerance or reverse tolerance, short-lived withdrawal, irritability

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16
Q

cocaine dependence

A

weak physical dependence but strong psychological dependence, no FDA approved treatments

17
Q

amphetamine

A

more popular than cocaine, more potent effects, stimulates CNS by increasing same neurotransmitters

18
Q

brand names of amphetamine

A

adderall, ritalin, concerta

19
Q

methamphetamine

A

more lipid soluble form of amphetamine, enters brain faster, more addictive

20
Q

amphetamine route of administration

A

oral, injection, intranasal, smoked

21
Q

amphetamine effect duration

22
Q

methamphetamine effect duration

23
Q

amphetamine mechanism of action

A

increased postsynaptic levels of dopamine, norepinephrine, and serotonin to larger degree than cocaine

24
Q

small doses effects of amphetamine

A

increase energy and alertness, reduced appetite

25
high doses effects of amphetamine
rush, intoxication, psychosis
26
meth specific effects
disinhibition, hypersexuality (but can decrease function)
27
difference between effects of cocaine and amphetamine
amphetamine has slower onset and longer duration but closely resemble one another
28
chronic use of stimulants
loss of neural tissue in prefrontal cortex
29
other stimulants
cathinone (khat) and bath salts
30
brain structures involved in effects of cocaine
increased dopamine in basal ganglia, prefrontal cortex, ventral tegmental area, nucleus acumbens
31
how have drugs laws for cocaine and crack contributed to racial disparities?
disproportionate incarceration rates and higher penalties for crack possession which was more common among blacks than powder cocaine